BPPV (Benign Paroxysmal Positional Vertigo – Crystal Displacement) is the most common cause of vertigo-related disorders. According to recent demographic studies, Posterior BPPV is the most frequently encountered type with a rate of 45-49%. Second in frequency is horizontal canal BPPV canalolithiasis with a rate of 15-22.8%, followed by horizontal canal cupulolithiasis ranging between 14.5% and 40%. Anterior canal BPPV is the least common group, accounting for approximately 1% of all BPPV cases.
Horizontal canal BPPV variants are treated with the BBQ, Gufoni, and Asprella maneuvers. All of these maneuvers have high success rates. The specific maneuver applied is chosen by the clinician based on the individual patient’s needs. In selecting these maneuvers, the clinician considers not only the BPPV variant but also various parameters such as the patient’s age, physical strength, severity of symptoms, and the patient’s tolerance capacity.
The Gufoni maneuver is an effective method used in the treatment of BPPV (Benign Paroxysmal Positional Vertigo – Crystal Displacement). This technique is designed to reposition displaced calcium crystals in the inner ear, thereby helping to alleviate vertigo symptoms. Patients typically experience rapid relief following this maneuver. Moreover, the Gufoni maneuver is particularly promising for certain types of BPPV as it aims to reduce the sensation of vertigo and imbalance even when at rest. Consequently, this maneuver has become an important treatment option for patients with vertigo.

Doctor Audiologist Emel Uğur
How is the Gufoni Maneuver Performed?
The Gufoni maneuver is a technique used for the treatment of Benign Paroxysmal Positional Vertigo (BPPV). It is easy to perform and is generally well tolerated by patients. This method helps to correct the displaced calcium crystals in the inner ear. It is a procedure that should be carried out by a clinician in a clinical setting. If deemed appropriate, the clinician may also recommend it as a home exercise to accelerate the recovery process.
When is the Gufoni Maneuver Appropriate?
The Gufoni maneuver is a recommended treatment method for patients with horizontal semicircular canal BPPV. It can be particularly beneficial for individuals who experience vertigo when turning in bed or tilting their head to the side. However, it is not suitable for all types of BPPV.
What are the Benefits of the Gufoni Maneuver?
The Gufoni maneuver is a non-invasive procedure aimed at correcting displaced calcium crystals in the inner ear. Patients generally report a reduction in vertigo symptoms shortly after undergoing the maneuver. In addition, the application of the Gufoni maneuver is simple and includes steps that patients can perform on their own, making the treatment process even more practical. The advantages offered by the Gufoni maneuver include:
- It is a non-invasive treatment method.
- It offers rapid results.
- It is easy to apply.
What are the Limitations and Precautions?
Although the Gufoni maneuver is widely used in the treatment of vertigo, it has certain limitations and precautions. Firstly, this maneuver is recommended only for cases of horizontal canal BPPV. Additionally, it has various modifications within itself and is ineffective for other types of BPPV. Furthermore, there is a possibility of recurrence after the Gufoni maneuver is performed. Therefore, close monitoring of the treatment process is necessary.
- Suitability: It is specific to horizontal canal BPPV.
- Risk of Recurrence: There is a possibility of BPPV recurring after treatment.
- Importance of Diagnosis: The success of the maneuver is directly related to correct diagnosis.
- Side Effects: Mild vertigo and nausea may occur during the maneuver.
For these reasons, it is essential that patients undergo a detailed evaluation by an audiologist before the Gufoni maneuver is performed. This ensures that the maneuver is appropriate for the patient and minimizes side effects. Continuous monitoring of the patient’s condition during the treatment process allows for the early detection of any potential recurrences.